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West Virginia rates for HCPCS L0649

Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does HCPCS L0649 cost?

$138

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $138 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$117 to $166
FacilityA hospital or hospital-owned outpatient department$138$138 to $145

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $295Professionalmedian $138 · 10th to 90th $93 to $224
$100$200$500$1Kfacility $138professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$165.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$295.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$288.40

Where West Virginia sits

The same service costs 3.6 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 39th of 51

$138

KS $339DC $93.33

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.